Infertility/Fertility/PCOS / Endometriosis

Advertisement


Question
QUESTION: Hi. I was advised that I have polycystic ovaries in 2010 after presenting with sharp pain in my right ovary.

I conceived within 2 - 3 months and have an almost 2 year old little girl now.

I am approx 12kg heavier now that what I was and we are trying for baby number 2.

I experience ovulation pain and lower pelvic pain one week before my period.

I am wondering if I could be experiencing symptoms of endometriosis now? My period is regular and I do not have over the top period pain.

Thanks

Renee

ANSWER: Hello Renee from Australia,

If you have regular and predictable menstrual cycles, you do not have PCO.  By definition, you have to have irregular cycles which means that the ovaries are not working.

If you have increased cramping or pelvic pain,then yes, there is the possibility of endometriosis.  This diagnosis can only be made by a surgery called laparoscopy.  

Good Luck,

Dr. Edward J. Ramirez, M.D., FACOG
Executive Medical Director
The Fertility and Gynecology Center
Monterey Bay IVF Program
www.montereybayivf.com

Monterey, California, U.S.A.

for additional information check out my blog at http://womenshealthandfertility.blogspot.com check me out on twitter with me at @montereybayivf and facebook @montereybayivf.  Skype and internet comprehensive consultations now available via my website for those who want a more extensive evaluation that this site can accommodate


---------- FOLLOW-UP ----------

QUESTION: Thanks for your answer.

Is it common to experience period pain a week before your period is due?

I have a gyno appt this week.

Also, is it common to get endometriosis after already having a baby and does weight gain play a part in developing endometriosis?

Thanks

Renee

Answer
Hello Again,

Yes it is common to begin having cramping before the bleeding begins.  The cramping is what causes the lining to shed thereby leading to the bleeding.  

Having a baby can reduce endometriosis, but it can form after.  Often endometriosis comes later in life, after a woman's child bearing years, but some develop it sooner.  Weight has no impact on the cause, maintenance or treatment of endometriosis.

Good Luck,

Dr. Edward J. Ramirez, M.D., FACOG
Executive Medical Director
The Fertility and Gynecology Center
Monterey Bay IVF Program
www.montereybayivf.com

Monterey, California, U.S.A.

for additional information check out my blog at http://womenshealthandfertility.blogspot.com check me out on twitter with me at @montereybayivf and facebook @montereybayivf.  Skype and internet comprehensive consultations now available via my website for those who want a more extensive evaluation that this site can accommodate

Infertility/Fertility

All Answers


Answers by Expert:


Ask Experts

Volunteer


Edward Joseph Ramirez, MD, FACOG

Expertise

I am a specialist in infertility and advanced gynecological care. I can answer questions about infertility, gynecology related ills, menopause...virtually anything that affects women's health. PLEASE tell me where you are writing from as I am always interested.

Experience

I have been practicing as an Ob/Gyn and Infertility Specialist for over 23 years. Gynecology, advanced laparoscopic surgery, basic infertility, IUI's, IVF, reproductive surgery, and ovulation induction are all areas of my expertise. I am Board Certified. I have been doing In Vitro Fertilization in my clinic for 19 years.

Organizations
American College of OB/GYN, American Board of Obstetrics and Gynecology, American Society of Reproductive Medicine, Society of Assisted Reproductive Technology, American Association of Gynecologic Laparoscopists, Fellow of The American College of Obstetricians & Gynecologists,Resolve-National Chapter, Open Path - Northern California, Board of Directors Monterey Medical Society

Publications
American Journal of Obstetrics and Gynecology, Wall Street Journal, Monterey Herald, SERMO, Women's Health and Fertility Blog

Education/Credentials
Medical Degree from Stanford University, Residency at Tripler Army Medical Center, Reproductive Training at Pacific Fertility Center, San Francisco

©2016 About.com. All rights reserved.